Five Year Forward View plans threatened by lack of funding

Plans to integrate and transform services could be jeopardised by the lack of ring-fenced funding, the King's Fund has warned on the two-year anniversary of the Five Year Forward View.

King’s Fund chief executive Chris Ham
King’s Fund chief executive Chris Ham

In an assessment of progress on NHS England’s Five Year Forward View, the think tank said that because much of the funding so far allocated to sustainability and transformation has been used to cover trust deficits, the NHS was being left without the money it needs to implement its plans.

The report said that the most progress made so far with the Five Year Forward View had been in the development of new care models, including GP-led multi-speciality community providers (MCPs) and primary and acute care systems (PACS), and with the Sustainability and Transformation Plans drawn up by 44 footprint areas across England.

However, the failure to properly invest in transformation had lead some new care model vanguards to scale back their plan, the report said. The risk was, it added, that new money and staffing alone will not relieve the pressure on the health and care service. Investment in transformation is needed, it said.

King’s Fund chief executive Chris Ham said: 'The future of the NHS depends on being able to implement the changes outlined in the Forward View.

‘New care models hold out the prospect of moderating rising levels of demand, including through better integration of health and social care and more investment in community services to provide alternatives to care in hospitals or care homes. These models are still under development, but the most advanced hold out real promise.

‘The challenge is that developing new care models requires investment, which is currently in short supply, as well as time. National leaders should hold their nerve, continue to support innovations now well under way, and work to remove legislative and policy barriers to progress.

‘By ring-fencing £1.8bn for the next two years to reduce deficits, national NHS bodies are effectively leaving the NHS without the investment needed to deliver the transformation of services set out in the Forward View.’

Responding to the report, NHS Confederation chief executive Stephen Dalton said: ‘This report shows long-term plans for improvement are being put on the back burner because of short-term funding issues arising from a health and care system which is stretched to breaking point.

‘We understand the need to ensure services have enough money today but the tactic adopted is to effectively raid resources which were meant to enable change and ensure we develop a 21st century NHS offer.

‘If we are to have a sustainable NHS and care system, the government needs to urgently invest in social care, halt planned cuts to public health, get serious about preventing ill health and kickstart an honest, open public conversation about what needs to change if the next generation is to carry on benefitting from the high quality health care we have today.’

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Quarter of government's 8m-dose flu stockpile is vaccine granted temporary approval

Quarter of government's 8m-dose flu stockpile is vaccine granted temporary approval

A vaccine yet to be licensed in the UK accounts for more than a quarter of the 8m...

GPs report drop in older patients coming forward with cancer symptoms

GPs report drop in older patients coming forward with cancer symptoms

More than half of GPs say numbers of older patients coming forward with cancer symptoms...

Failure to involve GPs in COVID-19 test and trace 'a disaster and a national shame'

Failure to involve GPs in COVID-19 test and trace 'a disaster and a national shame'

GPs and primary care teams should have played a key role in the UK’s efforts to test,...

RCGP chair 'livid' over attacks on general practice from 'armchair critics'

RCGP chair 'livid' over attacks on general practice from 'armchair critics'

General practice has risen 'heroically' to unprecedented challenges during the COVID-19...

Remote GP consultations a 'lifeline for the NHS' during pandemic, says Hancock

Remote GP consultations a 'lifeline for the NHS' during pandemic, says Hancock

The rapid switch to remote GP consultations during the COVID-19 pandemic provided...

COVID-19 disrupted training for four in five doctors, GMC survey shows

COVID-19 disrupted training for four in five doctors, GMC survey shows

The vast majority of trainee doctors have seen their training disrupted or limited...